%0 Case Reports
%T Management of a Case of Severe Pelvic Fracture Related Bladder Trauma.
%A Myers JB
%A Hotaling JM
%A Brant WO
%A Enniss TM
%J Urol Case Rep
%V 3
%N 2
%D Mar 2015
%M 26793492
暂无%R 10.1016/j.eucr.2014.12.003
%X A 62-year-old male was admitted after being struck by a bus. He sustained a severe pelvic fracture, sigmoid colon injury, and both intraperitoneal and extraperitoneal bladder injury. He underwent initial successful bladder repair. However, at 7 days post-operatively he manifested a leak from the repair and urine was evident coming from the pins of his pelvic external fixator. A repeat cystogram showed massive extravasation, which was managed by operative ligation of the lower ureters and placement of percutaneous nephrostomy tubes. He underwent ureteral reconstruction and colostomy reversal at 9 months. He has both bladder and bowel control.